After school program registration form template 2025

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4.4 out of 5

45 votes

The Afterschool Program, a collaboration between the Rochester Parks & Recreation Department and Bear Creek Services Inc., provides a safe and engaging environment for children aged 4-18 with special needs. Running from September 6, 2011, to June 7, 2012, the program focuses on socialization and skill development through various activities, including music therapy and homework assistance. It operates Monday to Friday from 2:30 PM to 6:00 PM, with transportation provided from local schools. The total cost for the program is $3,400 for the school year.

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Click ‘Get Form’ to open the after school program registration form in the editor.
Begin by entering your child's name in the designated field at the top of the form. This is essential for identifying your application.
Fill in the parent’s name, home phone, emergency phone, and cell phone numbers. Ensure all contact information is accurate for effective communication.
Provide your home address, including street, city, state, and ZIP code. This helps us locate you easily.
Enter your child's date of birth and age. This information is crucial for age-specific programming.
Indicate if transportation is required from your child’s school to Bear Creek Services by selecting 'Yes' or 'No'. If 'No', specify who will be responsible for transport.
Complete any additional sections regarding medical permissions and waivers as necessary. Review all entries for accuracy before submission.
Once completed, save your changes and submit the form along with payment to the Parks & Recreation Department as instructed.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (209 Votes)
2012	4.4 Satisfied (45 Votes)

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